| NPI | 1427071026 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: AZ 005850) | 
| Additional Taxonomies | 2081H0002X Physical Medicine & Rehabilitation, Hospice and Palliative Medicine (Licence: AZ 005850) | 
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: AZ 005850) | |
| Enumeration Date | 2006-07-25 | 
| Last Update Date | 2019-07-25 |